NPI | 1962088435 |
---|---|
Former Name | THERESA MARIE SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404547) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2204001) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-23 |
Last Update Date | 2024-08-13 |